| NPI | 1508236019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3371) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003950) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-08-15 |